Molina Healthcare MRI Rates in Miami-Fort Lauderdale-West Palm Beach

Published Molina Healthcare negotiated rates for MRI at 21 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$158.17

Jackson Memorial Hospital

all plan types

Highest Rate

$4,878.70

HCA Florida Woodmont Hospital

all plan types

Rate Spread

31x

across all plan types

Hospitals

21

with Molina Healthcare data

Molina Healthcare MRI rates across Miami-Fort Lauderdale-West Palm Beach vary 31-fold, from $158.17 at Jackson Memorial Hospital (MOLINA KIDCARE) to $4,878.70 at HCA Florida Woodmont Hospital. The median across 21 hospitals is $550. The lowest rates often reflect Medicaid or Medicare plan types rather than commercial coverage.

Why the range is so wide: Molina Healthcare negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Molina Healthcare MRI Rates by Hospital

Hospital Lowest Molina Healthcare Rate
Jackson Memorial Hospital $158.17
Jackson North Medical Center $158.17
Jackson South Medical Center $158.17
Jackson West Medical Center $158.17
Lakeside Medical Center $242.63
Holy Cross Hospital $388.69
Mount Sinai Medical Center $436.05
Memorial Hospital Miramar $550
Memorial Hospital Pembroke $550
Memorial Hospital West $550
Memorial Regional Hospital $550
HCA Florida JFK Hospital $1,178.95
HCA Florida JFK North Hospital $1,178.95
HCA Florida Aventura Hospital $1,237.43
HCA Florida Mercy Hospital $1,432.41
HCA Florida University Hospital $1,433.55
HCA Florida Westside Hospital $1,443.13
HCA Florida Northwest Hospital $2,140.16
HCA Florida Palms West Hospital $2,882.87
HCA Florida Kendall Hospital $2,938.54
HCA Florida Woodmont Hospital $3,433.16

Median of all 138 published Molina Healthcare rates for MRI at these hospitals: $1,178.95

Rates shown are Molina Healthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Molina Healthcare plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.

Reading Molina Healthcare MRI Rates in Miami-Fort Lauderdale-West Palm Beach

Where Molina Healthcare MRI rates start in Miami. The lowest published rate is $158.17, shared by Jackson Memorial Hospital, Jackson North Medical Center and Jackson South Medical Center. At the top, HCA Florida Woodmont Hospital shows $4,878.70, with HCA Florida Kendall Hospital's lowest rate at $2,938.54 and HCA Florida Palms West Hospital's at $2,882.87.

How wide the Miami MRI spread runs. Across 21 hospitals and 138 published rates, the spread is 31x and the median is $550. The plan types beside the lowest rates are MOLINA KIDCARE and Medicare Advantage, so the low end likely reflects those plans rather than commercial plans. Many of the higher rates are labeled MCR, and the plan behind a rate is not always stated clearly.

What Molina Healthcare members can ask about a Miami MRI. These are facility rates, and professional fees are billed separately.

  • Ask Molina Healthcare for your own plan's negotiated rate and estimated cost share at a named hospital.
  • Ask whether that hospital is in network for your plan.
  • Ask the hospital for an estimate before the scan.

Written from the rates in the table above. General information, not medical or insurance advice.

Understanding Molina Healthcare Negotiated Rates

A negotiated rate is the price Molina Healthcare has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.

The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Molina Healthcare plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

Compare Other Insurers for MRI in Miami-Fort Lauderdale-West Palm Beach

View all MRI prices in Miami-Fort Lauderdale-West Palm Beach (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Molina Healthcare MRI in Miami-Fort Lauderdale-West Palm Beach?

The lowest Molina Healthcare negotiated rate for MRI in Miami-Fort Lauderdale-West Palm Beach is $158.17 at Jackson Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,878.70 at HCA Florida Woodmont Hospital, a 31x difference. Commercial plan rates typically fall between these extremes.

Is the Molina Healthcare negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Molina Healthcare has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Molina Healthcare for a pre-service cost estimate specific to your plan.

How many Miami-Fort Lauderdale-West Palm Beach hospitals have published Molina Healthcare rates?

21 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published Molina Healthcare negotiated rates for MRI in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Molina Healthcare directly.

Do I need a referral for an MRI with Molina Healthcare?

Most Molina Healthcare plans require a referral or prior authorization for an MRI. Without it, the hospital may bill you at a higher rate or your claim could be denied. Contact Molina Healthcare before scheduling to confirm your plan's requirements.

We are not affiliated with Molina Healthcare or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Molina Healthcare or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.

Visit the official Molina Healthcare website: www.molinahealthcare.com